<!--
	Carnegie Mellon University
	School of Computer Science
	MSIT eBusiness Technology

	Team 8 - Infinity (2011 Spring)
	infinity-team8@googlegroups.com

	Professor: Jeffrey L. Eppinger
	Program Faculty: Sujata Telang
-->

<jsp:include page="employee-template-top.jsp" />
<jsp:include page="employee-topnav.jsp" />
<div id="header">
<h1>Create Customer Account</h1>    
</div>
<jsp:include page="employee-sidebar.jsp" />

<div id="content">

<div id="form-wrapper">
<jsp:include page="employee-error-list.jsp" />
	<form method="post">
		<input type="hidden" name="redirect" value="${redirect}"/>
		
			<div class="line-wrap">
				<label>User Name  <span style="color:#D1563B">*</span></label>
				<div class="field"><input type="text" name="userName" value="${form.userName}"/></div>
			</div>
			<div class="line-wrap">
				<label>Password  <span style="color:#D1563B">*</span></label>
				<div class="field"><input class="medium" style="margin-left:-250px" type="password" name="password" value=""/></div>
			</div>
			<div class="line-wrap">
				<label>Confirm Password  <span style="color:#D1563B">*</span></label>
				<div class="field"><input class="medium" style="margin-left:-250px" type="password" name="confirm" value=""/></div>
			</div>
			
			<hr>
			<h2>Personal Information</h2>
			<div class="line-wrap">
				<label>First Name  <span style="color:#D1563B">*</span></label> 
				<div class="field"><input type="text" name="firstName" value="${form.firstName}"/></div>
			</div>
			<div class="line-wrap">
				<label>Last Name  <span style="color:#D1563B">*</span></label>
				<div class="field"><input type="text" name="lastName" value="${form.lastName}"/></div>
			</div>

			<div class="line-wrap">
				<label>Address Line 1  <span style="color:#D1563B">*</span></label>
				<div class="field"><input type="text" name="addressLine1" value="${form.addressLine1}"/></div>
			</div>
			<div class="line-wrap">
				<label>Address Line 2  <span style="color:#D1563B"></span></label>
				<div class="field"><input type="text" name="addressLine2" value="${form.addressLine2}"/></div>
			</div>
			<div class="line-wrap">	
				<label>City  <span style="color:#D1563B">*</span></label>
				<div class="field"><input class="medium" style="margin-left:-250px" type="text" name="city" value="${form.city}"/></div>
			</div>
			<div class="line-wrap">
				<label>State  <span style="color:#D1563B">*</span></label>
				<div class="field"><input class="medium" style="margin-left:-250px" type="text" name="state" value="${form.state}"/></div>
			</div>
			<div class="line-wrap">
				<label>Zipcode  <span style="color:#D1563B">*</span></label>
				<div class="field"><input class="short" style="margin-left:-250px" type="text" name="zip" value="${form.zip}"/></div>
			</div>
			<div class="line-wrap">
				<label>Cash  <span style="color:#D1563B">*</span></label>
				<div class="field"><input class="short" style="margin-left:-250px" type="text" name="cash" value="${form.cash}"/></div>
			</div>
				
					<div class="button"><input type="submit" name="button" value="Create this customer!"/></div>

	</form>
</div>
</div>
<jsp:include page="footer.jsp" />